What do I do if the employee’s income varies and drops below the limits for withholding the insurance premium?
If the employer cannot withhold the health insurance premiums from an employee’s pay, it is the employee’s responsibility to pay his own health insurance premiums, or to notify the child support enforcement agency and seek a modification of his medical support order. When an employee’s income is not sufficient for the deduction of health insurance premiums and the employee does not pay on his own, you should complete item number 5 on the Employer Response form and send the form to the Issuing Agency. Employers are not expected to enroll and disenroll the children on a month-to-month basis due to the employee’s fluctuating income.